Individual
TAREQ MOH'D ALI ABU SHARIFEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L8253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447200308
BCBS OF TX
TX
05
—
166276901
—
TX
05
—
166276903
—
TX
01
—
8X6789
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00467136
RR MEDICARE
TX
Enumeration date
05/11/2006
Last updated
12/02/2019
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